Careplans Help Please! (with the R\T and AEB)

Posted

Hello! I did very well my first unit, taught by a certain teacher. This unit is taught by another and the majority of my class is COMPLETELY lost! When the teacher gives examples, it makes sense but when we're left on our own, it's extremely difficult to know where to start!

It will be the nursing DX r\t (what it's related to), aeb (then the signs and symptoms)

Does anyone have any pointers to make this easier??

Thanks in advance!!

psalm, RN

Specializes in Staff nurse.

...Do they have to be NANDA? Did you have a book you needed to purchase for care plans? Your med-surg book should have some cases that include care plans so check those that would correspond with the medical & nursing diagnoses. What is the pt in the hosp for? The dr's diagnosis of pneumonia would point you to airway and breathing problems...

Ie: impaired gas exchange r/t aeb

You fill in the blanks with what is going on with this individual pt.

stressgal, RN

Specializes in CCRN.

Here is an example:

Knowledge, deficient regarding condition, treatment, and self-care R/T lack of information AEB patient's comments about reason for hospitalization.

Nursing DX ( from the NANDA approved list): Knowledge deficient

RT (why is the client deficient): lack of information

AEB (how do I know the client meets the diagnosis) : patient's comments

Here's another one:

Skin/Tissue Integrity, impaired R/T surgical procedure AEB presence of incision

Nursing DX: Skin/tissue integrity impaired

RT(why is the skin/tissue integrity impaired): surgical procedure

AEB (how do I know the skin/tissue is impaired): presence of incision

I would recommend a good care plan book. There are many available. You do not need to "create" these out of thin air.

Hope that helps.

The orange dx book put out by Ackley is great because in the front it lists medical dx's with their corresponding nursing dx's/

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 44 years experience.

ELK, thanks for the link. What a FANTASTIC resource.

Bookmarking site and stickying thread.

NRSKarenRN, BSN, RN

Specializes in Vents, Telemetry, Home Care, Home infusion. Has 44 years experience.

P.S.:

New term for us oldtimers-- guessing AEB short for "as exhibited by"

Don't know if this will help, but I read my care plans back to myself backward to check it, from nursing interventions back to nurse dx, and each should relate to one another and make sense. Works for me. On the r/t I usually use s/sx and secondary to med dx. I use AEB on my desired pt outcome, it says how I will know it was effective RE: Pt skin integrity will remain intact AEB no skin breakdown during shift. Not a great example, but you get the picture. Hope this helps

I don't know if this helps but we use the PES format

Problem, Etiology, Sx

Example Problem, related to (cause), manifested by (signs and symptoms). I agree with reading it back to yourself backwards. It helps

cardiacRN2006, ADN, RN

Specializes in Cardiac.

We use AMB-as manifested by..

I love that link. I never had problems with making care plans, but that website practically does it for you!!! Awesome!

NewEnglandRN, RN

Specializes in Med-Surg, Psych. Has 4 years experience.

Can anyone direct me to an online source of approved NANDA diagnoses? I understand new ones have been added for 2006.

Thanks!

Imafloat, BSN, RN

Has 13 years experience.

We use PES format also. Problem R/T Etiology AEB Symptoms. This is a nursing diagnosis, not a medical one, so don't use medical terms such as pneumonia, bronchitis, appendicitis etc... We were also told that it is preferred to have more than one R/T and AEB.

NRSKarenRN said:
P.S.:

New term for us oldtimers-- guessing AEB short for "as exhibited by"

our aeb=as evidenced by. Same difference though ;)